Transverse versus longitudinal view ultrasonography for correct endotracheal tube placement in adults in intensive care unit: a randomized controlled study
试验速览
- 阶段
- Phase 3 4
- 状态
- 尚未招募
- 发起方
- 入组人数
- 304
- 试验地点
- 1
- 主要终点
- To compare Transverse versus Longitudinal view ultrasonography for correct endotracheal tube placement in adults in intensive care unit.
研究概览
简要总结
endotracheal intubation is a high risk procedure, often performed as emergency leading to higher incidence of osophageal intubation.Rapidly confirming endotracheal intubation is crucial,as is early detection of esophageal intubation,to prevent adverse effects. Various methods for confirming endotracheal intubation exist,such as sustained waveform capnography,chest auscultaion,chest xray,bronchoscopy,and real time ultrasonography. The American heart association recommends combining continuos sustained waveform capnography with chest auscultation to confirm endotracheal tube placement.nevertheless this requires delivering 6-7 mechanical breaths,which can pose risks in patients if the endotracheal intubation without ventilating the patient.Real time ultrasonography for airway management has become increasingly popular over the past decade due to its accessibility , painlessness affordabilty reproducibilty and safety.
In our Study we aim to compare the efficacy of real time ultrasonography in transverse versus longitudinal views for confirming endotracheal intubation using sustained capnography and chest auscultation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 90.00 Year(s)（—）
- 性别
- All
入选标准
- •pateints with Age more than 18 yrs.
- •both male and female patients will be included in the study.
排除标准
- •Presence neck mass, Priorly tracheostomized patients , Cervical spine injury patients,History of neck surgery in past,Consent not given for endotracheal intubation and videography.
结局指标
主要结局
To compare Transverse versus Longitudinal view ultrasonography for correct endotracheal tube placement in adults in intensive care unit.
时间窗: Successful endotracheal intubation at 2 minutes. | Number of attempts taken for endotracheal intubation within 2 minutes. | First pass success for endotracheal intubation within 2 minutes. | Time for ultrasound-based confirmation of endotracheal intubation within 2 minutes. | Time for capnography confirmation of endotracheal intubation within 2 minutes. | Time for clinical confirmation by chest auscultation within 2 min
Efficacy will be assessed by correct placement of endotracheal tube, number of attempts needed for endotracheal intubation, failed intubation after two attempts and time taken to confirm endotracheal intubation with combination of sustained waveform capnography and chest auscultation as standard technique
时间窗: Successful endotracheal intubation at 2 minutes. | Number of attempts taken for endotracheal intubation within 2 minutes. | First pass success for endotracheal intubation within 2 minutes. | Time for ultrasound-based confirmation of endotracheal intubation within 2 minutes. | Time for capnography confirmation of endotracheal intubation within 2 minutes. | Time for clinical confirmation by chest auscultation within 2 min
次要结局
未报告次要终点
研究者
Dr Rahul Kumar
Sir Ganga Ram hospital